Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.14 / $1,616.14 / $1,960.88	Facility		$1,616.14	$1,616.14	$1,960.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.53 / $1,486.80 / $2,231.81	Professional		$825.53	$1,486.80	$2,231.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $2,219.42	Facility		$1,208.78	$1,208.78	$2,219.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.78 / $3,123.75 / $4,112.50	Professional		$1,208.78	$3,123.75	$4,112.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $256.52 / $2,971.35	Professional		$256.52	$256.52	$2,971.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.47 / $2,911.51 / $12,092.66	Facility		$296.47	$2,911.51	$12,092.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.63 / $1,243.16 / $2,944.71	Professional		$968.63	$1,243.16	$2,944.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.47 / $296.47 / $700.75	Facility		$296.47	$296.47	$700.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $355.32 / $700.75	Professional		$295.60	$355.32	$700.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.30 / $1,228.74 / $2,944.71	Professional		$1,027.30	$1,228.74	$2,944.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,916.29 / $2,425.67 / $2,425.67	Professional		$1,916.29	$2,425.67	$2,425.67